Republic Companies - » 2024 COMED Utility Rebate Program

FOCUS ON ENERGY CLAIM FORM

Focus on Energy offers rebates and instant discounts on a variety of energy-efficient heating and cooling equipment including furnaces, boilers, smart thermostats, and water heaters. Rebates offered on eligible equipment.
DEALER INFORMATION
Company Name*
First and Last Name*
Address*
City*
State*
Zip Code*
Email*
Phone (Main)*
Please enter a valid phone number.
CONSUMER INFORMATION
Consumer / Business Name*
Installation Date*

MonthDayYear
Date
Installation Address*
City*
State*
Zip code*
Note
INSTALLATION INFORMATION
Building Type*
Project Type*
Gas Utility Provider*
Existing System Fuel Type*
Electric Utility Provider*
Gas Service Account Number
Electric Service Account Number
AHRI # / Source Identifier*
EQUIPMENT INFORMATION
Equipment Purchase Date*

MonthDayYear
Date
Quantity*
Product Type*
Serial Numbers*
Manufacturer*
Model*
Equipment Sell Price*
Instant Discount Amount*
DISTRIBUTOR INFORMATION
Distributor Company Name*
Distributor Invoice Number*
Should be Empty:

FOCUS ON ENERGY CLAIM FORM